Methodology

The overall strategy of the project is based on the assumption of the need and the feasibility of integrating PAFP services into China’s existing past abortion family planning services in hospital settings. The study was designed in 4 phases. Both qualitative and quantitative methods will be used in this project.

PHASE I Situation analysis (WP2 and WP3):

understanding the feasibility and practicability of integrating PAFP into existing abortion services at hospitals in China.

  • WP2: conduct a review of China’s FP policy and practice as well as international studies on PAFP provision and related integration strategy.

  • WP3: detailed situation analysis which includes mapping provision and utilization of abortion services in China, assessing the capacity of hospitals that provide PAFP services, and exploring perceptions of key stakeholders of the integration approach.

PHASE II Empirical decision (intervention design) (WP4):

develop intervention strategies to enhance an optimum way of PAFP delivery based on the situation analysis and pre-existing knowledge. A three-arm cluster randomized design will be developed which includes two intervention groups and one control group.

  • Intervention Group 1 – PAFP package: training abortion service providers, giving information and health education sessions to women seeking abortion at hospitals, individual counselling to women and their partners after abortion and provision of contraception.

  • Intervention Group 2 – continuous PAFP: PAFP package + free post + abortion follow-up visit to check for complications of abortion within a period of time after the abortion, and post-abortion phone counselling + financial incentive to service providers

  • Control group – care given as usual without any project specific intervention.

PHASE III Intervention implementation and monitoring (WP5):

An implementation plan will be developed including organization of training and strategies to ensure quality of training and periodical supervision and monitoring. Technical support will be provided to enhance the implementation process.

PHASE IV Operational and analytical evaluation (WP6 and WP7):

there are three elements in the evaluation of the interventions.

  • Evaluation of the interventions in terms of effectiveness of reducing unwanted pregnancies and repeat abortions.

  • Evaluation of the health system determinants for effective implementation.

  • Evaluation of the translation of research findings into policy.

UG-ICRH will take on the role of Project Coordinator and develop a project management structure that ensures effective interaction between the consortium partners to achieve the research objectives and expected impacts. This belongs to Work Package WP1 and WP9.

The reporting and dissemination of the research progress and of the final results will occur throughout the research cycle (WP8). A variety of communication means, such as policy briefs, newsletter, mass media, scientific articles etc. will be used to target different stakeholders including policy makers at different levels of the government in China, health managers and healthcare providers, the general public as well as Chinese and international scientific communities.

 

Logical relationship of INPAC work packages